This inspection was carried out on 25th October 2005.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
CARE HOME ADULTS 18-65
67-71 Lansdowne Road Aylestone Leicester Leicestershire LE2 8AS Lead Inspector
Mr Steve Hunnybun Unannounced Inspection 25th October 2005 12:00 67-71 Lansdowne Road DS0000006412.V260852.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 67-71 Lansdowne Road DS0000006412.V260852.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 67-71 Lansdowne Road DS0000006412.V260852.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service 67-71 Lansdowne Road Address Aylestone Leicester Leicestershire LE2 8AS 0116 283 4025 0116 283 4025 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Lansdowne Road Limited Ms Lesley Wakefield Care Home 28 Category(ies) of Learning disability (28) registration, with number of places 67-71 Lansdowne Road DS0000006412.V260852.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. No additional conditions of registration apply Date of last inspection 5th May 2005 Brief Description of the Service: 67-71 Lansdowne Road is registered to provide care for twenty-eight adults with learning disabilities. The home is divided into four self-contained units for service users with differing levels of need and ability. There is a large outdoor area to the rear of the property. The home is situated close to Aylestone Road and is approximately one mile from the city centre. A regular bus service to and from the centre can be accessed close to the home. A number of shops, parks and a leisure centre are located nearby. 67-71 Lansdowne Road DS0000006412.V260852.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the second statutory inspection this year and took place over approximately four hours. Four standards were examined; three where recommendations were made at the last time and one that was not looked at during the last inspection. Four files were tracked and the inspector spoke with three residents. One resident showed the inspector his room. Comments from residents were positive, the home was described as ‘very nice’, the food is evidently ‘lovely’ and the staff are ‘very good’. Two residents described their bedrooms as ‘great’ and one stated that he has a ‘nice comfy bed’. The bedroom seen by the inspector has recently been decorated and was very pleasant and homely. What the service does well: What has improved since the last inspection? What they could do better:
The drainpipe identified needs to be repaired or replaced. The refurbishment of the kitchen in number 71 needs to be completed. 67-71 Lansdowne Road DS0000006412.V260852.R01.S.doc Version 5.0 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 67-71 Lansdowne Road DS0000006412.V260852.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 67-71 Lansdowne Road DS0000006412.V260852.R01.S.doc Version 5.0 Page 8 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the standards in this section was examined on this occasion. EVIDENCE: 67-71 Lansdowne Road DS0000006412.V260852.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,9 Residents’ needs are reflected in their care plans and they are supported to take risks in order to enhance their independence. EVIDENCE: All files tracked contained care plans completed at the home and, in two cases, those completed by social services. Files also contained comprehensive risk assessments. The care plans and risk assessments are generic but where individual needs or risks are identified this is now noted. This was discussed with the deputy manager who stated that work is in progress to ensure that all files have individual care plans that are cross referenced with risk assessments. 67-71 Lansdowne Road DS0000006412.V260852.R01.S.doc Version 5.0 Page 10 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the standards in this section was examined on this occasion. EVIDENCE: 67-71 Lansdowne Road DS0000006412.V260852.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the standards in this section was examined on this occasion. EVIDENCE: 67-71 Lansdowne Road DS0000006412.V260852.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the standards in this section was examined on this occasion. EVIDENCE: 67-71 Lansdowne Road DS0000006412.V260852.R01.S.doc Version 5.0 Page 13 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 The home is generally homely, comfortable and safe. The areas identified below need attention as soon as possible. EVIDENCE: The inspector looked at the areas identified in the last inspection as being in need of attention. An area of render on the external wall of house A has now been repaired and repainted. The hall in number 71 has a new floor but the kitchen is still in need of refurbishment. A guttering down pipe is broken and allows water to run down the outside of the pipe. The home is commended for the amount of work that has been completed on the premises in recent months. The property is in a better state of repair and decoration and is far more homely than it was a year ago. The inspector acknowledges that there is a great deal of ongoing work with a property of this size. 67-71 Lansdowne Road DS0000006412.V260852.R01.S.doc Version 5.0 Page 14 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the standards in this section was examined on this occasion. EVIDENCE: 67-71 Lansdowne Road DS0000006412.V260852.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 Residents’ and stakeholder’s views are recorded and used to plan service delivery. EVIDENCE: Questionnaires are sent out annually to relatives and other stakeholders. The home has a visitors’ suggestion book, which all visitors are welcome to complete. Residents are also given questionnaires. Staff support residents to complete these as the forms are in a written format that not all can read. Results of questionnaires are published and are available for anyone who is interested in the home to read. The inspector was shown a description of the home that had been written by a resident. This document is to be sent to head office to be included in future literature regarding the home. This is commendable as it ensures that residents’ views are part of the information given to new referrals and their families. 67-71 Lansdowne Road DS0000006412.V260852.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 3 X Standard No 24 25 26 27 28 29 30
STAFFING Score 2 X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
67-71 Lansdowne Road Score X X X X Standard No 37 38 39 40 41 42 43 Score X X 4 X X X X DS0000006412.V260852.R01.S.doc Version 5.0 Page 17 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA24 Good Practice Recommendations It is recommended that the outstanding environmental issues identified be completed as soon as possible. 67-71 Lansdowne Road DS0000006412.V260852.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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